Active NPI
Jonathan T. Paine, M.D.
- Neurological Surgery Physician
- Melbourne, FL
National Provider Identifier
1609840941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME0050830
- Practice address
- 1305 Valentine St
Melbourne, FL 32901-3127 - Phone
- (321) 727-2468
- Fax
- (321) 952-0163
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME0050830 | FL | Primary |
Addresses
Primary practice location
1305 Valentine St
Melbourne, FL 32901-3127
Mailing address
1305 Valentine St
Melbourne, FL 32901-3127
Phone (321) 727-2468
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03944 | Other | FL | BLUE CROSS BLUE SHIELD, F |
| 0470639 | Other | FL | AETNA HMO |
| 4039014 | Other | FL | AETNA PPO |
| 6656062002 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050830 | FL | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609840941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 VALENTINE ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013127",
"telephone_number": "321-727-2468",
"fax_number": "321-952-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 VALENTINE ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013127",
"telephone_number": "321-727-2468",
"fax_number": "321-952-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINE",
"first_name": "JONATHAN",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME0050830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD, F",
"identifier": "03944",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0470639",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4039014",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6656062002",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.